Southeast Asia Youth Leadership Program

Laos

Reference Letter for High School Student

For the Applicant: Download and give this form to a teacher or other adult outside your family
who knows you well. The form needs to be in English. Ask the reference to TYPE IN the form
and email it to: Lao_educationusa@state.gov by 5pm, Nov. 16, 2022 (Laos Time). Handwritten
references WILL NOT be accepted.

Applicant Name ______________________________________________________

For the Reference: The student named above is applying to take part in the Southeast Asia
Youth Leadership Program, a three-week exchange program in the United States for students
and teachers. The selected students will be in a challenging academic environment and
intensive leadership training. To succeed, the participants must be highly motivated, and be
able to adjust to living and working with people of different social and cultural backgrounds. We
value your honest assessment of the applicant in helping us select the most appropriate
participants. If you would like to add additional comments, we encourage you to do so. Your
answers will remain confidential.

Please indicate your opinion of this applicant’s ability to meet the challenges of this
program

_____ I strongly recommend this student

_____ I recommend this student
_____ I have minor reservations about recommending this applicant
_____ I have major reservations about recommending this applicant
_____ I do not recommend this student

Please answer the following questions with NO MORE THAN 100 WORDS

How long, and in what context or capacity, have you known this applicant?

What are the applicant’s strengths?

What are the academic or personal areas in which this applicant needs improvement?
Please describe the applicant’s behavior or attitude with respect to authority, peer relationships,
responsibility, and work activities.

Do you think the applicant would adapt well to unfamiliar environments and new situations?
Why or why not?

Name (printed) _________________Signature _________ Date _________________